{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T14:53:01Z","timestamp":1784818381275,"version":"3.55.0"},"reference-count":19,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2022,3,23]],"date-time":"2022-03-23T00:00:00Z","timestamp":1647993600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Kienb\u00f6ck\u2019s disease is the avascular necrosis of the lunate bone. There is no consensus on the treatment strategy to avoid joint deterioration. This trial is conducted to compare the functional and radiological outcomes of radial shortening and capitate shortening techniques, in patients with avascular necrosis of lunate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Patients with a confirmed diagnosis of Kienb\u00f6ck\u2019s disease who met the inclusion criteria were randomly divided into radial shortening and capitate shortening groups and treated by allocated technique. Physical examination and radiologic evaluations were performed before and 6 and 12 months after the operation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 52 patients (52 wrists) of stage II or III Kienb\u00f6ck\u2019s disease were assessed for eligibility, 12 patients in the radial shortening group, and 17 patients remained until the end of the study. Patients in both groups achieved a satisfactory outcome, with no report of postoperative complications. None of the outcome measures, ranges of motion, grip, and pinch strengths were significantly different between the groups. The outcome was not considerably different in patients with positive or negative ulnar variances who were treated by capitate shortening technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The capitate shortening technique which is performed through a smaller incision, and takes less time as compared with radial shortening can be advantageous for patients with stage II or III Kienb\u00f6ck\u2019s disease regardless of the ulnar variance. This method can be as effective as classical methods such as radial shortening in improving clinical and functional symptoms after surgery while causing fewer complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15589447221081564","type":"journal-article","created":{"date-parts":[[2022,3,24]],"date-time":"2022-03-24T17:55:18Z","timestamp":1648144518000},"page":"1120-1128","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Comparing the Radiologic and Functional Outcome of Radial Shortening Versus Capitate Shortening in Management of Kienb\u00f6ck\u2019s Disease"],"prefix":"10.1177","volume":"18","author":[{"given":"Farid Najd","family":"Mazhar","sequence":"first","affiliation":[{"name":"Iran University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3000-171X","authenticated-orcid":false,"given":"Paniz","family":"Motaghi","sequence":"additional","affiliation":[{"name":"Iran University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad Reza","family":"Kooshesh","sequence":"additional","affiliation":[{"name":"Iran University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omid","family":"Mahmoudinasab","sequence":"additional","affiliation":[{"name":"Abadan University of Medical Sciences, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,3,23]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/1753193410373703"},{"issue":"3","key":"e_1_3_2_3_2","first-page":"422","article-title":"Kienb\u00f6ck\u2019s disease\u2013Late results by non-surgical treatment: a follow-up study","volume":"11","author":"Kristensen SS","year":"1986","unstructured":"Kristensen SS, Thomassen E, Christensen F. Kienb\u00f6ck\u2019s disease\u2013Late results by non-surgical treatment: a follow-up study. J Hand Surg Br. 1986;11(3):422-425.","journal-title":"J Hand Surg Br"},{"issue":"3","key":"e_1_3_2_4_2","first-page":"173","article-title":"Short-term clinical outcomes of radial shortening osteotomy and capitates shortening osteotomy in Kienb\u00f6ck disease","volume":"3","author":"Afshar A","year":"2015","unstructured":"Afshar A, Mehdizadeh M, Khalkhali H. Short-term clinical outcomes of radial shortening osteotomy and capitates shortening osteotomy in Kienb\u00f6ck disease. 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El bloqueo o\u2019seo metafisario: sus efectos biolo\u2019gicos en el tratamiento de algunos procesos isque\u2019micos osteoarticulares (artrosis y necrosis). Acta Ortop Latinoam. 1975;2:78-112.","journal-title":"Acta Ortop Latinoam"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-007-0428-4"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/956369"},{"issue":"2","key":"e_1_3_2_18_2","first-page":"146","article-title":"Mid-term clinical outcome of radial shortening for Kienbock disease","volume":"20","author":"Ebrahimzadeh MH","year":"2015","unstructured":"Ebrahimzadeh MH, Moradi A, Vahedi E, et al. Mid-term clinical outcome of radial shortening for Kienbock disease. 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